Dry Cracked Heels

Dry Cracked Heels
Dry Cracked Heel

Dry cracked heels affects many people across the country for different reasons.  Cracked heels can or heel fissures can be very difficult to treat, painful, break open causing bleeding wounds, and become infected.  People often present after trying many different home remedies and home concoctions having little to no improvement. There are multiple potential causes for dry cracked heels including genetic predisposition, peripheral neuropathy, environment, and chronic irritation.  Limiting any causative factors is important when treating dry cracked heels.

Diagnosing Dry Cracked Heels

It does not take a rocket scientist to diagnose dry cracked heels, this is a visual diagnosis and very a very descriptive name explains the condition well.  The tissue around the heel often times will become callused and thickened, this thickened calluse tissue becomes very hard and almost brittle.  Weaknesses in the tissue or folds associated with weight load cause deep crevices in the thickened skin.  As the surrounding callused tissue spreads the pull and tension can cause ruptures in the normal healthy skin at the base of the weakened areas.

Treating Cracked Heels

The key to callus treatment is reducing the thickness of the skin, this can be done with exfoliating creams or manual debridement or thinning of the skin.  Some tylomas may have skin folds associated with them making them difficult to debride, others may be very hard, here are some trick we tell our patients.

  1. Soak the area to be trimmed or trim the area while in the shower.
  2. Treat the area with an exfoliating cream before trimming.
  3. In severe cases or cases of heel fissures apply a strong exfoliating cream like Kera 42 at night, put a plastic bag over the foot then a sock.
  4. Apply a strong exfoliating cream like Kera 42 multiple times a day until the desired results, then use a daily cream like Kamea 20 or Urea Care.